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Deactivated NPI 1770679250 Deactivated / Inactive NPI Male Practitioner

Michael T Lancaster , NP

Nurse Practitioner • Vidalia, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Lancaster has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 04, 2006
NPI Deactivation Date July 06, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Michael Lancaster, NP was a registered Nurse Practitioner practicing in Vidalia, GA. Throughout an active medical career spanning 15 years, Michael Lancaster provided care at the practice location at 1707 MEADOWS LN until profile deactivation on 2021-07-06.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, injection, ketorolac tromethamine, per 15 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1707 Meadows Ln
Suite H

Vidalia, GA 304747200

Telephone 9125380040
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Vidalia, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
21 Specialists

Practicing in Vidalia, GA (3149 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
59 48 $147.00 $58.32

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN131631

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Bartlett Davis , PAC ATC

Physician Assistant

NPI 1205058948

PACATC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
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NPI Profile Deactivated July 06, 2021

Record deactivated on July 06, 2021

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Updated Practice Location May 15, 2018

Registered at 840 PINE ST STE 880, MACON, GA 31201 (Tel: 4787437092)

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Updated Business Mailing Address May 15, 2018

Registered at 840 PINE ST STE 880, MACON, GA 312017525 (Tel: 4787437092)

NPI Profile Active August 04, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 04, 2017

Registered at 104 FAIRVIEW PARK DR, DUBLIN, GA 310212500 (Tel: 4782721366)

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Updated Business Mailing Address August 04, 2017

Registered at PO BOX 407, VIDALIA, GA 304750407 (Tel: (912) 537-4986)

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Provider Name / Credentials Updated August 04, 2017

Recorded as MICHAEL LANCASTER, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2017

Nurse Practitioner (License #RN131631 in GA)

NPI Profile Active May 13, 2016

NPI status registered as active in NPPES database

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Updated Practice Location May 13, 2016

Registered at 1707 MEADOWS LN, SUITE H, VIDALIA, GA 304747200 (Tel: 9125380040)

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Updated Business Mailing Address May 13, 2016

Registered at PO BOX 407, VIDALIA, GA 304750407 (Tel: 9125374986)

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Provider Name / Credentials Updated May 13, 2016

Recorded as MICHAEL LANCASTER, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2016

Nurse Practitioner (License #RN131631 in GA)

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Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770679250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: May 13, 2016
Deactivation Date: July 06, 2021

Mailing Address

Po Box 407

Vidalia, GA 304750407

Phone: 9125374986

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.